DIANE MARIE BROOKS (NPI# 1750536082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750536082 |
| Entity Type | Individual |
| Full Name | DIANE MARIE BROOKS |
| Credential | PA-C |
| Practice Address |
4901 W 79th St Burbank IL 60459-1554 |
| Mailing Address |
4901 W 79th St Fl 2 Burbank IL 60459-1569 |
| Practice Telephone | 7083468268 |
| Mailing Telephone | 7084991545 |
| Mailing Fax Number | 7084994862 |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085-003227 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598814774 | Diane Joyce Brooks | Psychologist | 170 Montauk Hway, Speonk, NY 11972-0227 | 2007-01-09 |
| 1003179458 | Diane Elizabeth Brooks | Social Worker | 155 Inverness Dr W, Englewood, CO 80112-5095 | 2012-06-20 |
| 1457582884 | Diane Adele Brooks | Physical Therapist | 294 W Carlos Ave, Holbrook, AZ 86025-1846 | 2009-08-03 |
| 1942483268 | Diane Elizabeth Brooks | Counselor | 176 Virginia Ave, Rochester, PA 15074-1723 | 2007-12-10 |
| 1669566477 | Diane Brooks | Nurse Practitioner | 8765 Aero Dr, Suite 130, San Diego, CA 92123-1767 | 2006-10-03 |
| Street Address |
4901 W 79TH ST |
| City | BURBANK |
| State | IL |
| Zip Code | 60459-1554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861487423 | Andrea D. Jones | Obstetrics & Gynecology | 4901 W 79th St, Suite 10, Burbank, IL 60459-1554 | 2005-09-20 |
| 1538540877 | Advocate Health & Hospital Co | Hospice Care, Community Based | 4901 W 79th St, 2nd Floor, Burbank, IL 60459-1554 | 2015-06-12 |
| 1952724312 | Cristine S. Williams | Dietitian, Registered | 4901 W 79th St, 2nd Floor, Burbank, IL 60459-1554 | 2014-01-21 |
| 1073950622 | Lisa Garland | Internal Medicine | 4901 W 79th St, 2nd Floor, Burbank, IL 60459-1554 | 2013-05-22 |
| 1275827701 | Dave Bolger | Family Medicine | 4901 W 79th St, 2nd Floor, Burbank, IL 60459-1554 | 2011-06-01 |
| 1962630178 | Naveen Abraham | Family Medicine | 4901 W 79th St, Burbank, IL 60459-1554 | 2009-06-25 |
| 1588817605 | Seyed Mahmoud Nabavi | Physician Assistant | 4901 W 79th St, Burbank, IL 60459-1554 | 2008-11-03 |
| 1376705772 | Joyce Chen | Family Medicine | 4901 W 79th St, Suite 10, Burbank, IL 60459-1554 | 2008-06-26 |
| 1780858027 | Drs Wang M.d.s.c | Allergy & Immunology | 4901 W 79th St, Burbank, IL 60459-1554 | 2008-04-17 |
| 1912105057 | Stephen Issac Johnson | Family Medicine | 4901 W 79th St, Suite 10, Burbank, IL 60459-1554 | 2007-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619475852 | Albina Optometric | Optometrist | The Eye Care Center, Ltd, 8525 S Harlem Ave, Burbank, IL 60459 | 2018-01-23 |
| 1265943583 | Sara Christine De Van | Speech-Language Pathologist | 7600 South Mason Avenue, Burbank, IL 60459 | 2017-10-13 |
| 1710426465 | Nikki Negrete | Specialist/Technologist | 8520 S. Leclaire Ave., Burbank, IL 60459 | 2017-02-14 |
| 1700335734 | Sheefa Pharmacy Inc. | Pharmacy | 8519 S Harlem Avenue, Burbank, IL 60459 | 2016-10-03 |
| 1518325695 | Orthodontic Experts | Dentist | 7820 S. Cicero Ave, Burbank, IL 60459 | 2016-02-04 |
| 1528438306 | Lila Ayyad-alharsha | Behavioral Analyst | 6146 W. State Rd., Burbank, IL 60459 | 2015-10-06 |
| 1467852483 | Chicago Counseling & Training, Inc | Counselor | 4817 W. 83rd Street, Burbank Medical Center, Burbank, IL 60459 | 2014-08-27 |
| 1629344247 | Michael Joseph Fary | Optometrist | 7708 S Cicero Ave, Suite A5, Burbank, IL 60459 | 2012-03-28 |
| 1265732176 | Syeda Kulsoom Ali | Family Medicine | 4901 W 79th St Floor 2, Burbank, IL 60459 | 2010-10-26 |
| 1114119781 | Bonnes and Vasquez, P.C. | Social Worker | 13152 S. Cicero Ave, Pmb 260, Crestwood, IL 60459 | 2007-08-16 |
| Find all providers in zip 60459 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425281 | Katherine Fundora | Physician Assistant | 507 E Cypress Ave Frnt, Burbank, CA 91501-3237 | 2019-06-06 |
| 1922588649 | Rachel Leann White | Physician Assistant | 2501 W Burbank Blvd Ste 200, Burbank, CA 91505-2347 | 2018-08-21 |
| 1548715170 | Vickie Cheng | Physician Assistant | 191 S Buena Vista St Ste 475, Burbank, CA 91505-4541 | 2016-08-24 |
| 1629272307 | Frederick Noravian | Physician Assistant | 191 South Buena Vista Street, Suite 235, Burbank, CA 91505-4563 | 2007-06-14 |
| 1871703777 | Gina Napenas Obsenares | Physician Assistant | 201 S Buena Vista St Ste 420, Burbank, CA 91505-4571 | 2007-05-22 |
| 1598829434 | Kristina Karapetyan | Physician Assistant | 401 S. Glenoals Blvd, Suite 101, Burbank, CA 91502-1911 | 2006-12-21 |
| 1861495798 | Rachael C Mcafee | Physician Assistant | 191 S Buena Vista St Ste 420, Burbank, CA 91505-4551 | 2005-05-24 |
| 1720688179 | Wranga B Zadran | Physician Assistant | 2501 W Burbank Blvd, Burbank, CA 91505-2347 | 2020-10-27 |
| 1114560695 | Alexis Ellstrom | Physician Assistant | 5701 W 79th St, Burbank, IL 60459-1332 | 2019-10-28 |
| 1457902645 | Carina Alayne Hornbrook | Physician Assistant | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2019-09-27 |
| Find all providers in BURBANK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.